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| Complete Name |
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Father's Occupation
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Nationality |
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| Date of Birth |
Date Formate (MM/DD/YYYY)
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Place of Birth |
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| Gender |
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| Religion |
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| NIC # |
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Mailing address |
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| Permanent address |
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| Contact (Residence) |
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Contact office |
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| Cell # |
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| Email |
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| Domicile |
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| General
information |
| Student type |
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Name of the address of educational institutions
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To |
Primary School
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Secondary School
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College
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Secondary school education |
Year |
Grade |
% Score |
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Other
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| Higher
secondary certificate examination |
Year |
Marks |
Out of |
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Other
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Courses |
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N.C.C / Women Guard Training (Yes / No)
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Required for all applicants residing
abroad
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| Scholastic
Aptitude Test
*(SAT) :
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| TOEFL Score |
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Extra curricular activities & other
educational achievement
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Describe briefly your personality, your ambition and the motivation for
becoming a doctor
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The Statements I have made above are true. I agree to conform to
the discipline of the selection process and to accept the decisions of the
College / Baqai Medical University as final. I further undertake to sign and
execute any legal documents), if required, for the purpose of admission.
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| _______________ |
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______________________________ |
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Date:
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Parent's / Guardian Signature
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Applicant's Signature
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